1. A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take?: Ensure the
state health department has been notified
2.A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?: Evaluate functioning of the suction device
3. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which of the
following actions should the nurse take first?: Remove the device from the
room
4. A nurse is setting up a sterile field to perform wound irrigation for a client.
Which of the following actions should the nurse take when pouring the
sterile solution?: Remove the cap and place it sterile side up on a CLEAN
surface
5. A nurse is creating a plan of care for a female client who has recurrent
UTIs. Which of the following interventions should the nurse include in
the plan?: Wear loose fitting underwear
6. A nurse is caring for an infant who has gastroenteritis. Which of the fol-
lowing assessment findings should the nurse report to the provider?:
Sunken fontanels and dry mucous membranes
7. A nurse is conducting health promotion education regarding
contraindica- tions to combination oral contraceptives use to a group of
women. Which of the following conditions should the nurse include in the
teaching?: Hyperten- sion
8. A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for amitriptyline. Which of the following statements
by the client indicates an understanding of the teaching?: "I know it will be
a couple of weeks before the medication helps me feel better."
9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?: Apply an orthotic to
the client's foot.
10.A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark yellow
urine at 25mL/hr. Which of the following interventions should the nurse
antic- ipate?: Obtain a urine specimen for culture and sensitivity
11.A nurse is reporting a client's laboratory tests to the provider to obtain
a prescription for the client's daily warfarin. Which of the following
laboratory tests should the nurse plan to report to obtain the prescriptions
1/
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